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It does have a good track record in terms of safety, and it does not lead to weight gain or hypoglycemia

People who cannot reliably follow the fasting requirement

Concurrent viral infections, including influenza or COVID-19, remain possible and should be considered in the differential diagnosis

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That is the actual decision in front of anyone considering it, and it should be made with that asymmetry in full view, in conversation with a physician who can at least monitor the liver the market will not